拇外翻畸形的发生、发展与外科矫正

拇外翻的发生有内因和外因两个方面,其发病是外因通过内因作用于足的一个过程。遗传、足结构的异常和一些全身性疾病都是常见的内因。而足部负重和鞋的挤压等是常见的外部原因。随着畸形的发展,会引起拇趾一系列病理改变。认识这些病理变化对拇外翻治疗有着重要的意义。手术是治疗拇外翻的主要方法。治疗中既要重视恢复足的功能也要重视足的外观。手术方式的选择主要取决于病理改变,另外,术者还应熟悉每种手术的适应证,同时要考虑患者的年龄和要求以及术者的经验和条件,选择最适合患者的手术方法。

Development and Progress of Hallux Valgus and Surgical Treatment

The cause of the hallux valgus have both of intrinsic and extrinsic.The intrinsic cause developed through the extrinsic cause. Heredity, some foot abnormal structures and some rheumatic disorders are all common intrinsic causes.Weight bearing and compression of shoe are common extrinsic causes. With the development of deformity, a series of pathology of great toe will appear. Realizing the pathology change will be important to treat hallux valgus. The operation is the main method for hallux valgus to treat.We should not only recorer the function of foot,but also pay much attention to the appearance of foot.The procedure to choose mainly depends on pathology changes. The operator should be familiar with the indication of each kind of procedures. He should also have certain conditions and experience, and think about the patient's age and demands when the procedure that is most suitable for the patient.